Mark Joseph B.

Madria
NCM 100.1 LEC Nursing Care Plan(NCP)
Ma'am Sheila Mae O. Sia, R.N.
13-Jan-11

CUES NSG DX PLANNING INTERVENTION

Subjective Data: 1. Related to tonsilitis After 5 days, Bomo will be Independent:
1. has severe throat pain improving his health condition
2. likes swallowing razor blades through appropriate rest, 1. Encourage patient to drink
3. has swollen lymph nodes 2. As manifested by severedrinking warm fluids and plenty of warm fluids
4. has chills throat pains, swollen lymph
intake of the doctor's
5. has fever and general fatiguenodes, presence of Erythma prescribed medicine.
6. is anorexic and Edema of the Pharynx, Dependent:
7. "This is the 3rd time I've had and Urula with white patchy
this problem this year. I didn't exudate on tonsilar areas. 2. Paracetamol 500 mg
even bother coming in the 1st (1 tablet every 4 hours PRN)
or 2nd time. I just stayed in the
bed between classes and treated 4. Erythromycin 500 mg
myself." (1 tablet 3x a day)

Objective Data: 5. Vitamin C 500 mg

8. Face and neck flushed
9. Dark circles unerlying eyes
10. Blood pressure: 126/72
11. Pulse: 104
12. Repsiratios: 104
13. Oral Temperature: 39.6ºC
14. Has Erythma & Edema of the
Pharynx $ Urula with white
patchy exudate on tonsilar areas
16. Tonsils are 3+ & injected
17. Cervical & rectopharyngeal
lymph nodes are grossly palpable
and very tender
 INTERVENTION

tient to drink
luids

500 mg
hours PRN)

500 mg
y)

mg